Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $23.20 / $23.20	Facility		$23.20	$23.20	$23.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $93.75 / $93.75	Professional		$93.75	$93.75	$93.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $16.77 / $16.77	Professional		$16.77	$16.77	$16.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$200.00	$345.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,500.00 / $2,500.00	Professional		$30.00	$1,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00